Impact of prediabetes on postoperative outcomes following short-segment transforaminal lumbar interbody fusions.

ABSTRACT:

Objectives

Type 2 diabetes mellitus (T2DM) is a well-established risk factor for adverse surgical outcomes, but the impact of prediabetes on spine surgery remains unexplored. This study evaluated the influence of prediabetes on postoperative complications in patients undergoing short-segment (≤3 levels) transforaminal lumbar interbody fusion (TLIF).

Methods

We retrospectively reviewed patients undergoing 1-3 level TLIF in a national administrative database. Patients were categorized into 3 groups: no diabetes, prediabetes, and T2DM. Patients with type 1 diabetes were excluded. A 1:1:1 exact match was performed to balance demographics, comorbidities, and the number of spinal levels fused. Thirty-day postoperative medical and surgical complications were analyzed.

Results

SUBMITTER: Khalid SI 

PROVIDER: S-EPMC12642138 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature